Many older people who fracture their hip do not recover to their previous level of function. This study will test whether it is possible to help recovery of function, particularly walking, after hip fracture by using different and more intensive physiotherapy treatment. The treatment will concentrate on exercise when standing, will be provided twice daily and will continue after the person with hip fracture has returned home. Four months after the hip fracture it is expected that walking ability ....Many older people who fracture their hip do not recover to their previous level of function. This study will test whether it is possible to help recovery of function, particularly walking, after hip fracture by using different and more intensive physiotherapy treatment. The treatment will concentrate on exercise when standing, will be provided twice daily and will continue after the person with hip fracture has returned home. Four months after the hip fracture it is expected that walking ability, strength and balance will be improved by the new treatment methods.Read moreRead less
A Randomised Controlled Trial Of A Nurse-led Intervention For Less Chronic Heart Failure: The NIL-CHF Study
Funder
National Health and Medical Research Council
Funding Amount
$1,166,160.00
Summary
The overall aim of the unique NIL-CHF Study is to examine the benefits of applying a specialist nurse-led, home and clinic-based intervention to optimise the care of recently discharged hospital patients with heart disease. Involving 950 patients, it will explore whether more flexible and individualised care to apply the best possible medical treatments is able to PREVENT the most deadly and disabling form of heart disease (chronic heart failure - CHF) and save money in the process.
Economic Evaluation Of The Costs And Benefits Of Options For Publicly Funded Dental Care Provision In Australia
Funder
National Health and Medical Research Council
Funding Amount
$219,135.00
Summary
Governments and administrators of public dental services (PDS) currently address resource allocation problems with little guidance from the public. This project will provide evidence of population priorities that can underpin planning for public dental care and provide direction for priorities in PDS A cost-benefit analysis of dental care, to guide future decisions, will be conducted by comparing the community's willingness to pay for dental services and the cost of providing those services.
Building Best Practice In Child Protection At The Intersection Of Child Protection And Adult Mental Health Services
Funder
National Health and Medical Research Council
Funding Amount
$294,590.00
Summary
This research is an investigation of child protection practices with families where at least one parent has been diagnosed with a serious mental illness (affective or non-affective psychosis), and where child abuse or neglect has been substantiated or children are at risk of significant harm. It is specifically concerned to understand processes of interagency collaboration between workers in state government child protection and mental health service systems. The research has several aims. These ....This research is an investigation of child protection practices with families where at least one parent has been diagnosed with a serious mental illness (affective or non-affective psychosis), and where child abuse or neglect has been substantiated or children are at risk of significant harm. It is specifically concerned to understand processes of interagency collaboration between workers in state government child protection and mental health service systems. The research has several aims. These are, first, to identify and examine the current practices of child protection and mental health workers where protective concerns have been identified in relation to children whose parent-s have been diagnosed with a mental illness. Practice will be examined at the assessment, child protection follow-up and post-order phases. Second, to identify and examine any barriers to effective collaboration between child protection and mental health organisations; and third, to develop inductively derived descriptions of 'best practice' in relation to these cases. The research will be conducted in four stages, including a survey of child protection and mental health workers, tracking of cases through the child protection system, in-depth interviews with child protection workers, mental health workers and parents, and group discussions with highly experienced child protection and mental health workers. The expected outcomes of the study are: the development of child protection practice guidelines for working with families where children have been harmed or at risk of harm by a parent who has a mental illness, including practice guidelines for interagency collaboration in this field; and identification of supervisional, training, administrative and policy responses to this issue.Read moreRead less
An Evaluation Of Trust In A Primary Health Care System
Funder
National Health and Medical Research Council
Funding Amount
$135,550.00
Summary
Trust is a critical issue in the relationships between organisations that need to work together to achieve integrated services for consumers. As organisational representatives get to know one another trust may develop permitting a greater degree of collaboration. In Victoria, the Primary Care Partnerships Strategy process aims to strengthen the relationships between agencies in alocal areas to improve collaboration and achieve services that operate in an integrated way in the provision of servic ....Trust is a critical issue in the relationships between organisations that need to work together to achieve integrated services for consumers. As organisational representatives get to know one another trust may develop permitting a greater degree of collaboration. In Victoria, the Primary Care Partnerships Strategy process aims to strengthen the relationships between agencies in alocal areas to improve collaboration and achieve services that operate in an integrated way in the provision of services to consumers. It is about strengthening the system of care. The aim of this study is to understand how people within a primary care system build and maintain relationships of trust between individuals and between organisations. Individuals will be interviewed to learn how they experience trust and related issues, documents will be analysed to learn about the policy and organisational environments of trust relationships, and the Trust Evaluation Scale used to measure the factors associated with trust over a two year period. The outcomes of this study will be an understanding of how organisations establish the relationships that allow them to collaborate effectively. In particular it will help us understand how they can be encouraged to share the same protocols and procedures, to share information, and become more skilful at managing organisational differences, and it will provide a deeper understanding of relationships between primary health care organisations and the strategies that can help individuals and organisations create trust and collaborate.Read moreRead less